Individual provider · Type 1 NPI

Timothy J. Micklos, MD

Diagnostic Radiology Physician · Murray, UT

NPI number 1629023742 Active

Practice location

5444 Green St
Murray, UT 84123-5632

Fax (801) 262-5721

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X172983-1205 (UT)
Diagnostic Radiology Physician 2085R0202XM-8397 (ID)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629023742

Timothy J. Micklos, MD's National Provider Identifier is 1629023742, issued on May 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Murray, UT. The record was last updated on Sep 7, 2012.